Organization Active NPI

VP Medical, LLC

  • Vascular Surgery Physician
  • Jefferson City, MO
National Provider Identifier
1659526689
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
VP MEDICAL, LLC
Practice address
3308 W Edgewood Dr Ste D
Jefferson City, MO 65109-6891
Phone
(573) 632-0010
Fax
(573) 632-2449
NPI assigned
Nov 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Julie A. Payne
Title
Certified Billing & Coding Speciali
Phone
(573) 632-0010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X MO Primary

Addresses

Primary practice location

3308 W Edgewood Dr Ste D
Jefferson City, MO 65109-6891

Mailing address

3308 W Edgewood Dr Ste D
Jefferson City, MO 65109-6891
Phone (573) 632-0010

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1659526689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3308 W EDGEWOOD DR STE D",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096891",
            "telephone_number": "573-632-0010",
            "fax_number": "573-632-2449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3308 W EDGEWOOD DR STE D",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096891",
            "telephone_number": "573-632-0010",
            "fax_number": "573-632-2449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VP MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-18",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CERTIFIED BILLING & CODING SPECIALI",
        "authorized_official_telephone_number": "573-632-0010"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.